Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.10 / $65.28 / $80.83	Professional		$31.10	$65.28	$80.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.94 / $135.94 / $135.94	Facility		$135.94	$135.94	$135.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $84.44 / $100.41	Professional		$37.61	$84.44	$100.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $99.92 / $190.36 / $278.02	Professional		$99.92	$190.36	$278.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $36.14 / $36.14	Professional		$36.14	$36.14	$36.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $37.40 / $82.83	Professional		$25.00	$37.40	$82.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $67.77 / $94.13	Professional		$56.00	$67.77	$94.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $131.38 / $180.10 / $397.43	Facility		$131.38	$180.10	$397.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $474.71 / $474.71 / $734.25	Professional		$474.71	$474.71	$734.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.29 / $75.30 / $87.35	Facility		$45.29	$75.30	$87.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $36.14 / $88.25	Professional		$36.14	$36.14	$88.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $142.13 / $142.13 / $142.13	Professional		$142.13	$142.13	$142.13
United Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $37.57 / $97.98	Professional		$34.72	$37.57	$97.98